DR. MIR MUJTABA ALI KHAN (NPI# 1831290923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831290923 |
| Entity Type | Individual |
| Full Name | DR. MIR MUJTABA ALI KHAN |
| Other Name | DR. MUJTABA ALI-KHAN |
| Credential | D.O. |
| Practice Address |
179 Interstate 45 S Suite 300 Huntsville TX 77340-4223 |
| Practice Telephone | 9362940152 |
| Practice Fax Number | 9362949600 |
| Mailing Telephone | 9362940152 |
| Mailing Fax Number | 9362949600 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | M3450 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922629682 | Mir Zeeshan Ali Khan | Student in an Organized Health Care Education/Training Program | 1500 Lansdowne Avenue, Darby, PA 19023-1200 | 2020-05-04 |
| Street Address |
179 INTERSTATE 45 S SUITE 300 |
| City | HUNTSVILLE |
| State | TX |
| Zip Code | 77340-4223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477872190 | Dyvette L Warren | Physician Assistant | 179 Interstate 45 S, Suite 300, Huntsville, TX 77340-4223 | 2010-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619871 | Rhonda Reynolds | Pharmacist | 141 I45 S, Huntsville, TX 77340 | 2020-11-06 |
| 1902407794 | Tristan Elliston | Pharmacist | 145 Interstate 45 S, Huntsville, TX 77340 | 2020-11-06 |
| 1396362331 | Elizabeth Alexander | Registered Nurse | 1451 River Oaks Dr., Huntsville, TX 77340 | 2020-06-25 |
| 1598399107 | Haley Lord | Specialist/Technologist | 1804 Bobby K Marks Dr, Huntsville, TX 77340 | 2020-02-24 |
| 1568022077 | Jessica Olsen Jordan | Registered Nurse | 1905 University Ave, Huntsville, TX 77340 | 2019-06-17 |
| 1861962136 | Samantha Joleen Bioseh | Nurse Practitioner | 179 I-45, Suite 300, Huntsville, TX 77340 | 2018-11-29 |
| 1528573987 | Alan Wu | Dentist | 245 Interstate 45 S Ste D, Huntsville, TX 77340 | 2017-12-07 |
| 1285146282 | Brandi Elizabeth Bonin | Dietitian, Registered | 1217 Avenue M Ste 113, Huntsville, TX 77340 | 2017-10-30 |
| 1558889030 | Mext, LLC | Audiologist-Hearing Aid Fitter | 179 Ih 45 S Ste 400, Huntsville, TX 77340 | 2017-09-05 |
| 1720518111 | H-e-b, Lp | Clinical Medical Laboratory | 1702 11th St, Huntsville, TX 77340 | 2017-06-18 |
| Find all providers in zip 77340 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447744537 | M.d. Hospitalists, LLC | Internal Medicine | 6275 University Dr Nw Ste 37-235, Huntsville, AL 35806-1776 | 2018-06-21 |
| 1669994331 | Blossomwood Research LLC | Internal Medicine | 2121 Whitesburg Dr Se Ste D, Huntsville, AL 35801-4501 | 2017-07-13 |
| 1922554641 | Acts Signature Community Services, Inc. | Internal Medicine | One Clubhouse Avenue, Huntsville, AL 35802 | 2016-09-01 |
| 1255713327 | Omer Iqbal | Internal Medicine | 420 Lowell Dr Se Ste 101, Huntsville, AL 35801-3755 | 2015-06-24 |
| 1780072801 | Mahesri Mht LLC | Internal Medicine | 119 Medical Park Ln Ste A, Huntsville, TX 77340-4980 | 2014-12-23 |
| 1750726162 | Raleigh Forrest Adams | Internal Medicine | 250 Chateau Drive, Suite 110, Huntsville, AL 35801 | 2013-04-30 |
| 1417390543 | Tyler Green | Internal Medicine | 2004 Airport Rd Sw Ste 212, Huntsville, AL 35801-5848 | 2013-04-08 |
| 1407107709 | Richard Aloysius Finch | Internal Medicine | 2709 Boulder Cir Se, Huntsville, AL 35801-1402 | 2012-09-26 |
| 1003170218 | Michael Frederick Donze Jr. | Internal Medicine | 250 Chateau Dr Sw Ste 110, Huntsville, AL 35801-3497 | 2012-07-02 |
| 1962761486 | Alfred Lawrence Watson | Internal Medicine | 2112 Clubhouse Ave, Huntsville, AL 35802 | 2012-05-04 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 77340 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.